| NPI | 1437340668 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MO 2015013494) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301090172) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: KS 04-38127) | |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2022-02-09 |